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Individual

OSCAR C. LIRIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1405 FULTON AVE, SCHENECTADY, NY 12308-1402
(518) 243-1313
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
104401
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087256
GHI - HMO
NY
01
000405348002
BLUE SHIELD
NY
01
0198343
GHI PPO
NY
01
02111
MVP
NY
01
10001200 2110
CDPHP
NY
01
104401-5B
WORKERS COMP.
NY
01
10460704
CAQH
NY
01
3391H1
BLUE CROSS
NY
01
41129000012
FIDELIS
NY
01
5980091
AETNA
NY
Enumeration date
05/12/2006
Last updated
07/08/2007
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